Healthcare Provider Details

I. General information

NPI: 1205799863
Provider Name (Legal Business Name): ANIQUE TCHIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N CLAYTON ST
WILMINGTON DE
19805-3165
US

IV. Provider business mailing address

7729 RIVERDALE RD APT 101
NEW CARROLLTON MD
20784-3951
US

V. Phone/Fax

Practice location:
  • Phone: 302-421-4295
  • Fax:
Mailing address:
  • Phone: 240-495-4982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0016114
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: